Disorders of the biliary tract with major complications in Illinois
What 20 hospitals in Illinois charged and were paid for a Medicare hospital stay for disorders of the biliary tract with major complications (DRG 444), from 2024 Medicare claims.
Average charge
$73,901
Hospital list price billed
Average payment
$15,975
Medicare + patient + other payers
Medicare paid
$12,435
Average per stay
State rank
#22 of 34
1 = lowest average payment
Hospitals in Illinois billed an average of $73,901 for disorders of the biliary tract with major complications, about 4.6 times the average total payment of $15,975. That payment is 7% below the U.S. average of $17,218.
These are averages for patients with original (fee-for-service) Medicare. Private insurance pays different, negotiated prices, and what you owe depends on your plan's deductible and coinsurance. Use these figures to compare hospitals, not as a quote.
Paid $15,975Billed $73,901
About 22¢ was paid for every $1 hospitals in Illinois billed for this stay.
Medicare prices this stay in 3 versions, by how sick the patient was. Compare them in Illinois:
Illinois hospitals: disorders of the biliary tract with major complications
Every Illinois hospital that billed Medicare for this stay at least 11 times. Click a column to sort.
| Hospital | Stays | Avg charge | Avg payment | Medicare paid |
|---|---|---|---|---|
| Evanston HospitalEvanston | 27 | $54,252 | $17,195 | $12,102 |
| Northwestern Memorial HospitalChicago | 25 | $124,544 | $22,974 | $17,641 |
| Advocate Christ Hospital & Medical CenterOak Lawn | 20 | $53,987 | $16,156 | $12,887 |
| Saint Francis Medical CenterPeoria | 19 | $84,688 | $15,087 | $12,503 |
| Advocate Lutheran General HospitalPark Ridge | 19 | $77,917 | $16,209 | $12,759 |
| Saint Anthony Medical CenterRockford | 18 | $55,334 | $13,016 | $11,452 |
| Edward HospitalNaperville | 17 | $97,673 | $12,517 | $11,271 |
| Advocate Good Samaritan HospitalDowners Grove | 16 | $62,050 | $12,217 | $10,972 |
| Rush University Medical CenterChicago | 15 | $78,394 | $22,698 | $18,252 |
| Memorial Medical CenterSpringfield | 15 | $53,130 | $13,974 | $12,421 |
| Swedish American HospitalRockford | 15 | $83,400 | $26,355 | $10,402 |
| Central Dupage HospitalWinfield | 15 | $92,797 | $12,916 | $12,045 |
| St Johns HospitalSpringfield | 14 | $79,028 | $14,920 | $11,936 |
| Carle Foundation HospitalUrbana | 14 | $100,402 | $15,356 | $13,998 |
| Lake Forest HospitalLake Forest | 14 | $82,184 | $15,330 | $12,088 |
| Delnor Community HospitalGeneva | 14 | $83,121 | $13,603 | $11,976 |
| Silver Cross HospitalJoliet | 14 | $32,340 | $15,400 | $8,516 |
| Northwest Community HospitalArlington Heights | 14 | $36,331 | $12,801 | $9,695 |
| Memorial HospitalBelleville | 11 | $62,477 | $11,196 | $9,883 |
| Alexian Brothers Medical CenterElk Grove Village | 11 | $61,647 | $12,610 | $11,543 |
Lowest and highest payments in Illinois
Among hospitals with at least 11 Medicare hospital stays. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
Lowest
| Memorial HospitalBelleville, IL | $11,196 |
|---|---|
| Advocate Good Samaritan HospitalDowners Grove, IL | $12,217 |
| Edward HospitalNaperville, IL | $12,517 |
| Alexian Brothers Medical CenterElk Grove Village, IL | $12,610 |
| Northwest Community HospitalArlington Heights, IL | $12,801 |
Highest
| Swedish American HospitalRockford, IL | $26,355 |
|---|---|
| Northwestern Memorial HospitalChicago, IL | $22,974 |
| Rush University Medical CenterChicago, IL | $22,698 |
| Evanston HospitalEvanston, IL | $17,195 |
| Advocate Lutheran General HospitalPark Ridge, IL | $16,209 |
Disorders of the biliary tract with major complications in other states
Questions
How much does disorders of the biliary tract with major complications cost in Illinois?
In 2024 Medicare data, a hospital stay for disorders of the biliary tract with major complications (DRG 444) at 20 hospitals in Illinois was billed at $73,901 on average, while the average total payment was $15,975, of which Medicare paid $12,435. Your own cost depends on your insurance, deductible and the hospital.
Why are hospital charges so much higher than payments?
Charges are a hospital's list prices. Medicare pays fixed rates set in advance, and private insurers negotiate their own discounts, so almost nobody pays the full charge. For this stay in Illinois, average charges were 4.6 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.
Source: CMS, Medicare Inpatient Hospitals by Provider and Service, 2024. Average total payment includes Medicare's payment, the patient's deductible and coinsurance, and any other payer. CMS omits hospitals with fewer than 11 hospital stays for privacy. About the data.